Author(s)

Mamadou Hady Diallo^1*, Fatoumata Bamba Diallo¹, Massa Keita², Djénabou Binta Baldé¹, Alpha Boubacar Barry², Ibrahima Sory Baldé², Telly Sy², Namory Keita¹

¹University Department of Gynecology-Obstetrics, National Hospital Donka, Conakry, Guinea.
²University Department of Gynecology and Obstetrics, National Hospital Ignace Deen, Conakry, Guinea.

Gynecological and obstetrical emergencies are found all over the world, especially in developing countries where women pay a heavy price for giving birth. They can occur at any time during pregnancy and outside of pregnancy often in a socio-economic context. The objectives of this study were to describe the sociodemographic characteristics and the maternal and fetal prognosis of gynecological and obstetric emergencies. Patients and Methods: This was a descriptive cross-sectional study with prospective data collection, conducted at the University Clinic of Gynecology and Obstetrics of the Donka National Hospital between June 1 and September 30, 2015. It involved all patients admitted to our department in emergency for a gynecological or obstetrical complaint. Results: We collected 361 cases of gynecological and obstetrical emergencies out of a total of 1779 consultations, i.e. a frequency of 20.29%. Obstetrical emergencies were predominant with 91.41% and gynecological emergencies represented 8.59%. The average age of patients was 29.5 with extremes of 14 and 47. Nulliparous women were the most numerous (34.35%). More than half of the patients did not attend school (52.08%) and 56.70% were evacuees. Abdominopelvic pain and hemorrhage were the main reasons for consultation (54.29% and 49.58%). Admission diagnoses were dominated by acute fetal distress and hemorrhage in the last quarter of pregnancy (52.3% and 36.01%). The caesarean section rate was high (82.12%). Maternal and perinatal lethality rates were high (5.2% and 30.3%). Conclusion: Gynecological and obstetrical emergencies are a public health issue because of the severity of the prognosis they impose on the mother and child. Maternal and perinatal mortality was very high. The prevention of these serious emergencies must be done through good quality prenatal consultations. Laparoscopy equipment and staff training are necessary for a minimal invasive surgery of gynecological emergencies.

Gynecological Emergencies, Obstetrical, Donka, Guinea

Diallo, M. , Diallo, F. , Keita, M. , Baldé, D. , Barry, A. , Baldé, I. , Sy, T. and Keita, N. (2021) Gynecological and Obstetrical Emergencies at the University Clinic of Gynecology-Obstetrics of the National Hospital Donka Guinea. Open Journal of Obstetrics and Gynecology, 11, 1862-1874. doi: 10.4236/ojog.2021.1112173.